K Number
K991695
Device Name
DYNAREX NON-WOVEN SPONGE
Manufacturer
Date Cleared
1999-07-15

(58 days)

Product Code
Regulation Number
880.5090
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Non-Woven sponge for wound dressing prepping and scrubbing.
Device Description
Non-Woven Sponge, Sterile
More Information

Not Found

Not Found

No
The summary describes a simple wound dressing sponge and contains no mention of AI, ML, or related concepts.

No
The device is described as a non-woven sponge for wound dressing prep and scrubbing, which implies it's used for cleaning or preparing a wound, not for actively treating a medical condition or restoring a body function. It's a tool for a procedure, not a therapeutic agent itself.

No
The device is described as a "Non-Woven sponge for wound dressing prepping and scrubbing," which indicates it's used for therapeutic or preparatory purposes, not for diagnosing a medical condition.

No

The device description clearly states it is a "Non-Woven Sponge, Sterile," which is a physical, hardware medical device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "Non-Woven sponge for wound dressing prepping and scrubbing." This describes a device used externally on the body for cleaning and preparing a wound.
  • Device Description: The description is "Non-Woven Sponge, Sterile." This is a physical item used for cleaning.
  • Lack of IVD Characteristics: IVDs are devices used to examine specimens (like blood, urine, tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. The provided information does not mention any such use or interaction with bodily specimens for diagnostic purposes.

Therefore, this device falls under the category of a general medical device, specifically a wound dressing or wound care product, rather than an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Non-Woven sponge for wound dressing prepping and scrubbing.

Product codes

KMF

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Not Found

Key Metrics

Not Found

Predicate Device(s)

To determine the predicate device, more information is needed than what is provided in the document. The document states "substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act)." However, it does not explicitly name a specific K/DEN number for a predicate device.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5090 Liquid bandage.

(a)
Identification. A liquid bandage is a sterile device that is a liquid, semiliquid, or powder and liquid combination used to cover an opening in the skin or as a dressing for burns. The device is also used as a topical skin protectant.(b)
Classification. Class I (general controls). When used only as a skin protectant, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 880.9.

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle with three curved lines representing its wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 15 1999

Mr. John G. Moulden Senior Vice President Dynarex Corporation One International Boulevard Brewster, New York 10509

Re: K991695 Trade Name: Non-Woven Sponge Regulatory Class: Unclassified Product Code: KMF Dated: May13, 1999 Received: May 18, 1999

Dear Mr. Moulden:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition. FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

1

Page 2 - Mr. John G. Moulden

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

K991695 page 1 of 1

K991695 510(k) NUMBER (IF KNOWN):

Dynarex NOn-Woven Sponge, Sterile DEVICE NAME:

INDICATIONS FOR USE:

Non-Woven sponge for wound dressing prepping and scrubbing.

FDA/CDRH/ODE/DMC

Jun 23 3 48 PM '93

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED.)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR
Over-The-Counter-Use
(Optional Format 1-2-
(Division Sign-Off)

Division of General Restorative Devices 510(k) Number ________________________________________________________________________________________________________________________________________________________________

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